J. Lawrence Pool Symposium
نویسندگان
چکیده
Received, November 25, 2007. Accepted, June 4, 2008. Recent technological advances and collaborative efforts between neurosurgeons and neurointensivists have reduced the overall aneurysmal subarachnoid hemorrhage (SAH) fatality rate from 50% to nearly 20% (Table 1) (96, 115). Despite this encouraging trend, there continues to be room for improvement in the outlook for poorgrade SAH. While goodgrade SAH patients (Hunt and Hess Grades I to III) generally experience favorable outcomes, mortality among poorgrade patients (Hunt and Hess Grades IV and V) remains high and may be heavily influenced by the aggressiveness of care. In the past, many neurosurgeons were reluctant to treat these patients or treated only a select few (57, 102, 117). Recent studies have shown, however, that many poorgrade patients can recover if treated aggressively from the outset (59, 71). The premise of this article is that early and aggressive cardiopulmonary and neurological support, to a large extent, determines poor grade SAH prognosis. Moving forward, emergency management protocols that focus on rapid resuscitation and amelioration of acute brain injury, coupled with postoperative management that centers on multimodality monitoring to detect and minimize secondary injury, may offer the best chance for further improvements in outcome. To this end, we review current advances in the emergency and intensive care unit (ICU) management of poorgrade SAH, and we presRESUSCITATION AND CRITICAL CARE OF POORGRADE SUBARACHNOID HEMORRHAGE
منابع مشابه
BILL E. KUNKLE INTERDISCIPLINARY BEEF SYMPOSIUM: Mineral Nutrition in Beef Cattle Production.
متن کامل
g d 09 17 th International Symposium on Graph Drawing September 22 - 25 , 2009 , Chicago , Illinois , USA Program Committee
متن کامل
Development of Infobuttons in a Wireless Environment
At Columbia-Presbyterian Medical Center, a clinical information system (CIS) called WebCIS is used by health care providers. We have developed a palm-based extension to WebCIS, called PalmCIS, which provides physicians access to clinical data through a wireless connection. As part of PalmCIS, we have added links to two on-line information resources: PubMed and Micromedex.
متن کاملThe role of the metabotropic glutamate 5 and adenosine 2A receptors in methamphetamine addiction
Chesworth, R., Brown, R., Kim, J., Ledent, C. and Lawrence, A. “Adenosine 2A receptors modulate reward behaviours for methamphetamine”. May 2014. ASMR Victorian Student Research Symposium. Chesworth, R., Brown, R., Kim, J., Ledent, C. and Lawrence, A. “Activity in the infralimbic cortex and nucleus accumbens shell is associated with methamphetamine place preference”. January 2014. Australian Ne...
متن کاملApplication of Knowledge Discovery to Molecular Biology: Identifying Structural Regularities in Proteins
In recent years, there has been an explosive amount of molecular biology information obtained and deposited in various databases. Identifying and interpreting interesting patterns from this massive amount of information has become an essential component in directing further molecular biology research. The goal of this research is to discover structural regularities in protein sequences by apply...
متن کاملTraining the Next Generation of Quantitative Biologists in the Era of Big Data
The following sections are included: Workshop Focus, Workshop Contributions and References.
متن کامل